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Karas, Brian Anthony NEWYORKSTATEDEPARTMENTOFHEALTH # Burial - Transit Permit Bureau of Vital Records Name First Middle Last Sex Brian Anthony Karas Male Date of Death Age If Veteran of U.S.Armed Forces, 03/06/2023 50 Years War or Dates Place of Death Hospital,Institution or Z City,Town or Village Albany Street Address Albany Medical Center Hospital LU • Manner of Death Z Natural Cause Accident Homicide ESuicide Undetermined Pending W Circumstances Investigation W Medical Certifier Name Title CI Adam Rabidoux Address 43 New Scotland Ave,Albany,New York 12208 Death Certificate Filed City Of Albany District Number Register Number City,Town or Village 0101 0597 Burial Date Cemetery,Crematory or Facility Name 03/13/2023 Pine View Crematory Entombment Address ©Cremation Queensbury Town,New York Donation Z❑Removal Date Place Removed - and/or and/or Held H- Hold Address 0 Cl- Date Point of N❑Transportation p by Common Shipment Carrier Destination oDisinterment Date Cemetery Address Reinterment Date Cemetery Address Permit issued to Registration Number Name of Funeral Home M B Kilmer Funeral Home-South Glens Falls 01078 'Address 136 Main St,S Glens Falls,New York 12803 Name of Funeral Firm Making Disposition or to Whom ▪ Remains are Shipped,If Other than Above a Address CC 0' Permission is hereby granted to dispose of the human remains described above as indicated. Date Issued 03/13/2023 Registrar of Vital Statistics DanieCCe S GiCCespie(E(.ectronicaCCy Signed) (signature) District Number 0101 Place City Of Albany I certify that the remains of the decedent identified above were disposed of in accordance with this permit on: Z Date of Disposition Place of Disposition 2 (address) W LE N (section) (lot number) (grave number) 4 Name of Sexton or Person in Charge of Pre ' es �v"I (phase print) Signature LU �� Title ( sr/ DOH-1555(07/18)p t of 2 t 6786 Public Health Law Sec. 4145(2b) Receipt Human remains of delivered on , 20 Pine View Cemetery Representing the funeral home named on burial permit Official Funeral Directors Reg.or License#